个体化认知行为干预联合SBAR沟通模式对前列腺癌术前化疗患者的心理应激反应及自我效能感的影响  

Effect of individualized cognitive behavior intervention combined with SBAR communication mode on psychological stress response and self-efficacy of patients with prostate cancer undergoing preoperative chemotherapy

作　　者：樊荣 蒋玉梅[1] 高慧敏 谢宏俊 FAN Rong;JIANG Yumei;GAO Huimin;XIE Hongjun(Department of Urology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shaanxi 710061,China)

机构地区：[1]西安交通大学第一附属医院泌尿外科,陕西省西安市710061

出　　处：《中南医学科学杂志》2021年第4期485-488,共4页Medical Science Journal of Central South China

基　　金：国家自然科学基金资助项目(81773206)。

摘　　要：目的探讨个体化认知行为干预联合现况-背景-评估-建议(SBAR)沟通模式对前列腺癌术前化疗患者的心理应激反应及自我效能感的影响。方法回顾性分析80例前列腺癌术前化疗患者的临床资料,根据干预方法分为个体化联合组42例和SBAR模式组38例。SBAR模式组采用SBAR沟通模式进行心理干预,个体化联合组在此基础上联合个体化认知行为干预。比较两组干预前后心理状况、心理应激反应、自我效能感、应对方式。结果干预后,两组心理状况、心理应激反应、自我效能感、应对方式的得分较干预前改善(P<0.05)。干预后,个体化联合组各指标优于SBAR组(P<0.05)。结论个体化认知行为干预联合SBAR沟通模式有利于前列腺癌术前化疗患者心理健康,具有一定的实用性和可行性。Aim To explore the effect of individual cognitive behavior intervention communication mode combined with status background assessment recommendation(SBAR)on psychological stress response and self-efficacy of patients with prostate cancer undergoing preoperative chemotherapy.Methods The clinical data of 80 patients with preoperative chemotherapy of prostate cancer were retrospectively analyzed.According to the intervention methods,they were divided into individualized union group(42 cases)and SBAR group(38 cases).The SBAR group patients accepted supportive psychological intervention in SBAR communication mode,and the individualized union group patients accepted individualized cognitive behavior treatment besides supportive psychological intervention.The psychological status,psychological stress reaction,self-efficacy and coping style of the participants before and after intervention were compared.Results After 6 weeks of intervention,the scores of psychological status,psychological stress response,selfefficacy and coping style in both groups were improved compared with those before intervention(P<0.05).After 6 weeks of intervention.Scores of various indicators in individualized union group were superior to SBAR group(P<0.05).Conclusion Individual cognitive behavior intervention combined with SBAR communication mode is beneficial to the mental health of patients with prostate cancer after chemotherapy,which has certain practicability and feasibility.

关 键 词：个体化认知行为干预 前列腺癌 术前化疗 现况-背景-评估-建议沟通模式 心理应激反应 

分 类 号：R473.73[医药卫生—护理学]